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Organization

STEVEN F, SMITH, D.D.S., MARK C. SMITH, D.D.S.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. TIFFANY WEBB (OFFICE MANAGER)
(423) 623-7116
Entity
Organization

Contact information

Practice address
305 COSBY HWY, NEWPORT, TN 37821-2914
(423) 623-7116
(423) 623-5743
Mailing address
305 COSBY HWY, NEWPORT, TN 37821-2914
(423) 623-7116
(423) 623-5743

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS4016
TN
1223P0221X
Pediatric Dentistry
DS4229
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1225103088
GENERAL DENTISTRY
TN
01
1881770006
PEDIATRIC DENTISTRY
TN
Enumeration date
10/08/2013
Last updated
10/10/2013
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